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Individual

ANTHONY MATTHEW EL YOUSSEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(888) 468-0022
(541) 504-3907
Mailing address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(541) 484-1835
(541) 504-3907

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9641
OR

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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